It doesn’t matter what Trump wants or asks for, because Ryan was elected by all the House Republicans to run everything into the ground.
Ryan was elected in the same way Trump was—it was the only choice. Someone like Dave Brat would never have gotten a majority vote from the GOP. If Trump is truly serious about repealing Obamacare and proceeding with his agenda, he needs to work with the FC and get them to work on getting rid of Ryan.